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^' •+n: - MARION COUNTY <br /> Building Application 5155 Silverton Rd NE <br /> • MarionSalem,OR 97305 <br /> county Authorization NA 503-588-5147 <br /> FAX: 503-588-7948 <br /> G.o:N' <br /> 555-23-005648-AUTH <br /> www.co.marion.or.us building@co.marion.or.us <br /> Applicant: WHEELER,TROY D &WHEELER,TAWNEE R <br /> 6047 STAYTON RD SE <br /> TURNER, OR 97392 <br /> *SM 14:.:! f '04 " <br /> No Code Edition Specified <br /> Type of Work: Category of Construction: <br /> None specified None specified $0.00 <br /> Description of Work: AUTH - REPLACE 3 BDRM MD WITH 3 BDRM SFD <br /> . -F'C t„JOB SITE INFORMATION:...g 3i M.M;M : . . ..>`Z 4" k . <br /> Property Address: Parcel: Owner: WHEELER,TROY D& <br /> 6047 Stayton Rd Se,Turner,OR 97392 092W33A 01700-Primary WHEELER,TAWNEE R <br /> Address: 6047 STAYTON RD SE <br /> TURNER OR 97392 <br /> „ x M 0 1 1 m KyrPICC ENS 00P R6FE�Se�S Y;t)N rA aL TN�C1,�s <br /> Business Name License Address Phone <br /> : w a'}'Fb fi v` � rla�R ` `' 4''a'�' d s x. O i' <br /> Fee Description Quantity Amount <br /> Authorization notice-with field visit 1.00 Ea $650.00 <br /> DEQ Surcharge 1.00 Automatic $100.00 <br /> Total Fees: $750.00 <br /> Note:This may not include all the fees required for this project. <br /> This application will expire if application acceptance cannot be achieved within 180 days. <br /> All provisions of laws and ordinances governing this type of work will be complied with <br /> whether specified herein or not. <br /> All persons or entities performing work under this application are required to be licensed <br /> unless exempted by ORS 701.010. <br /> Pr nted on:07/03/2023 1 std_BuildingApplication pr <br />